HOOKWORM ANTICOAGULANT

Abstract: A soluble anticoagulant protein isolated and purified from Ancylostoma hookworms markedly prolongs both the prothrombin time and partial thromboplastin time in clotting assays. The protein exhibits amino acid sequence homology to the Kunitz-type serine protease inhibitor family. Chromogenic peptide substrate and clotting time assays indicate that the protein inhibits extrinsic pathway clotting factor VIIa, the enzyme responsible for initiating the human coagulation cascade, and factor Xa in the common pathway of the coagulation cascade.

Description: HOOKWORM ANTICOAGULANT DESCRIPTION Technical Field of the Invention This invention relates to an anticoagulant isolated from hookworms. Background of the Invention Hookworms are intestinal nematodes that infect over 1 billion persons worldwide, with a higher prevalence in children than in adults (briefly reviewed in Cecil 's Textbook of Medicine , 19th ed. , W.B. Saunders Co., 1992, page 2010) . These individuals suffer from intestinal hemorrhage as a direct consequence of blood loss caused by the adult hookworms attached to the mucosa. Hookworm disease is most common in tropical and less developed countries, where environmental and socioeconomic condi¬ tions including warm, moist soil, lack of public sewage disposal systems and the habit of walking barefoot espe¬ cially favor transmission. Although other routes of infection are known, such as lactogenic transfer of lar¬ vae to infants and use of soiled bedding and clothing (Hotez, P.J., Pediatr. Infect. Dis. J. , 8 : 516-520 (1989) ) , infection often occurs when exposed skin main¬ tains contact for several minutes with soil contaminated with parasite eggs containing viable larvae. These pene¬ trate the skin and journey to the lungs to develop into adults that eventually make their way to the upper small intestine, where they attach to the mucosa. Hookworm disease is due primarly to gastrointestinal blood loss and attendant iron deficiency anemia. Adult worms attached to the mucosa digest ingested blood as well as cause focal bleeding. Each hookworm can suck as much as 0.2 ml of blood per day (Spellman, G.G., and Nossel, H.L., Amer. J. Phys. 220 : 922-927 (1971)). This dramatic blood loss can reduce peripheral hemoglobin concentrations to as low as 3 g/100 ml. More commonly, however, blood loss is insidious, and results in chronic iron-deficiency anemia. Thus, in its human host, the adult hookworm functions as a conduit that empties blood into the intestinal tract, producing blood loss on a global scale equivalent to the exsanguination of 1.5 million people per day (Hotez, cited above) . Nutritional deficiencies secondary to coexisting conditions that result in low iron stores contribute to morbidity. The remarkable ability of a single small parasite to cause so much blood loss raises the question of an effec¬ tive anticoagulating mechanism. Loss of blood from the gastrointestinal tract would be facilitated if the abili¬ ty of blood to clot were impaired in persons infected with this parasite. Early in this century, researchers observed that extracts of the dog hookworm contained a substance that delayed coagulation of human blood (Loeb, L. , and Fleisher, M.S., J. Infect. Diε . 7: 625-631 (1910)). Some fifty years later, it was subsequently noted that hookworm protein, when added to mammalian plasma, markedly prolongs both the prothrombin and par¬ tial thromboplastin times (Spellman and Nossel, cited above, and Carroll, S.M., et al . , Thromb. Haemostaε. 51 : 222-227 (1984)). Although some of this effect has been attributed to a fibrinogenolytic and fibrinolytic protease that de¬ grades fibrinogen (Hotez, P.J. , et al . , J. Biol . Chem . 260: 7343-7348 (1985)), the exact location in the clot- ting cascade at which the predominant anticoagulant ef¬ fect is exerted has not been determined. One investiga¬ tor reported that extracts of hookworm cephalic glands, while significantly prolonging the prothrombin time, had no appreciable effect on the Stypven-activated factor X clotting time; the anticoagulant was characterized as a protein with a molecular weight between 20,000 and 50,000 daltons (Eiff, J.A. , J. Parasitol . 52 : 833-843 (1966)). Other investigators, on the other hand, demonstrated that extracts of the whole worms did, in fact, prolong the Stypven time, arguing in favor of the presence of an inhibitor of factor Xa (Spellman and Nossel, cited above) . Blood coagulation, initiated by substances in in- jured tissues, is propagated by an interlocking network of enzymatic activation, propagation, and control events, the so- called coagulation cascade. These complex reac¬ tions ensure that blood coagulation happens quickly and yet remains localized. Blood coagulation results in the formation of a protein scaffolding, the fibrin clot, that controls bleeding and serves as a nidus for subsequent cellular ingrowth and tissue repair. After several days, the fibrin clot is lysed and replaced with a more perma¬ nent scaffolding of connective tissue matrix molecules. Abnormalities that result in delay of clot formation or premature lysis of clots are associated with a bleeding tendency. Coagulation and fibrinolysis involve many blood plasma proteins (see, for example, Table 155-1 in Cecil, cited above, page 1000) , with the list growing longer as blood coagulation mechanisms are studied in greater de¬ tail. Structural and functional similarities can be employed to group the proteins. For example, one group are zymogens of serine proteases, and hence members of the serine protease family of proteins which includes trypsin, chymotrypsin, elastase, plasmin and cathepsin G. In the coagulation cascade. Factors II, VII, IX, X, XI, XII and protein C are in the serine protease family. These are modified by a vitamin K-dependent posttransla- tional carboxylation of glutamic acid residues, which allows the proteins to bind calcium and phospholipids and thereby participate efficiently in blood coagulation. Tissue plasminogen activator in the coagulation cascade is also a serine protease. Other proteins are serine protease inhibitors and hence members of the "serpin" family of proteins, which includes antithrombin III, heparin cofactor II, and plasminogen activator. Blood coagulation can be initiated by exposure of blood to tissue factor, the so-called "extrinsic system", or by activation of contact factors of plasma, the so-called "intrinsic system". Both of these initiation pathways lead to a common pathway, which results in the elaboration of thrombin, the master coagulation enzyme. Two major coagulation tests mentioned above differentiate these pathways. In the prothrombin time (herein denoted PT) test, tissue factor is added to plasma so that acti¬ vation proceeds by the extrinsic pathway. In the partial thromoplastin time (herein denoted PTT) test, blood plas¬ ma is activated by the intrinsic pathway. The pathways are related somewhat because deficiencies of Factor IX, an intrinsic factor, as well as the factors that follow Factor IX in the intrinsic and common pathways and Factor VII, an extrinsic factor that activates IX and X, are all associated with a bleeding tendency. In contrast, defi- ciency of Factor XII and prekallikrein, which activates XII, does not cause a bleeding problem. Summary of the Invention It is an object of the invention to provide a new anticoagulant. It is a further and more specific object of the invention to provide an anticoagulant that can be used as a therapeutic agent for the treatment of numerous vascu¬ lar disorders, as well as for the development for vac- cines for hookworm infection and strategies for lessening the sequelae of chronic infection. These and other objects are accomplished by the pre¬ sent invention which provides a soluble protein anticoag¬ ulant isolated and purified from Ancylostoma , particular- ly Ancylostoma caninum, hookworms. In clotting assays, the protein prolongs the prothro bin time and partial thro boplastin time. It inhibits clotting factors Vila, the enzyme responsible for initiating the human clotting cascade, and Xa, thus exhibiting common pathway inhibito- ry activity as well. The protein does not inhibit throm- bin or clotting factors II and V. The protein has an apparent molecular weight of about 16,500 daltons. It contains the amino acid se¬ quences Tyr-Gly-Pro-Cys-Lys and Tyr-Pro-Glu-Cys-Gly-Glu- Asn-Cys-Gly-Leu, thus exhibiting sequence homology with polypeptides belonging to the Kunitz-type family of ser¬ ine protease inhibitors. The invention also provides DNA encoding the hook¬ worm anticoagulant, biologically functional circular plasmid or viral DNA vectors comprising the DNA, and procaryotic or eucaryotic host cells such as E. coli . transformed or transfected with the vectors in a manner allowing the host cell to express the protein. Description of the Figures Figure 1 shows selective inhibition by hookworm ex¬ tract of the chromogenic hydrolysis of substrate (40 μg Chromozy X) by 0.01 units of purified factor Xa (open bars) . Equal amounts of hookworm protein do not inhibit the activity of purified thrombin versus its substrate (Chro ozym TH, hatched bars) . Figure 2 shows partial purification of hookworm in- hibitor by Q Sepharose column chromatography. Hookworm extract from 100 adult worms was added to a 1.7 x 9 cm Q Sepharose column using gravity flow. A major protein peak (denoted —) was eluted from the column with a 2.0 M NaCl gradient. Individual column fractions (approxi ate- ly 1 ml) were collected and assayed for factor Xa inhibi¬ tory activity by chromogenic assay (denoted ) . Figure 3 shows the effect of Q Sepharose column fractions on prothrombin (open circles) and partial thromboplastin times (closed circles; control clotting times: PT = 1.0 seconds, PTT = 28.3 seconds). The peak of anticoagulant activity, i.e., prolongation of PT/PTT, corresponds to the peak of inhibition observed with the chromogenic assay of factor Xa activity. Figure 4 shows the effect of purified hookworm anti- coagulant on factors Vila (open bars) and Xa (hatched bars) using an in vitro chromogenic assay analogous to that described for Figure 1 above. Detailed Description of the Invention This invention is based upon the finding that a low molecular weight protein isolated and purified from hook¬ worms binds to and inhibits both extrinsic factor V la, the enzyme responsible for initiation of the human coagu¬ lation cascade, and factor Xa in the common pathway. By "hookworm" is meant any nematode that sucks blood from the small intestine including, but not limited to, the major hookworms that infect humans, Ancylostoma duo- denale, Necator americanu , and, less commonly, A. cey- lonicum , as well as hookworms that infect other animals such as Ancylostoma caninum, Bunostomum phlebotomαm, Agrioεtomum vryburgi, B. trigonocephalum, and Gaigeria pachysceliε . Other blood-sucking nematodes such as Hae- monchuε species, e. g. , H. contortuε , are also encompassed by this invention. Ancyloεtoma caninum is preferred in one embodiment. In the practice of this invention, a soluble protein anticoagulant is isolated and purified from hookworms. By "purified" is meant essentially homogenous, yielding one polypeptide band on electrophoresis in a system that separates proteins; purified anticoagulant is thus sub¬ stantially free of other hookworm constituents, including associated proteins. Generally, the preparation is car¬ ried out by homogenizing or lysing the nematodes to ob¬ tain soluble extracts, and purifying the protein from the extracts. Any type of protein purification scheme famil- iar to the skilled artesan can be employed, such as, for example, affinity, ion-exchange, exclusion, partition, liquid and/or gas-liquid chromatography; zone, paper, thin layer, cellulose acetate membrane, agar gel, starch gel, and/or acrylamide gel electrophoresis; immunochemi- cal methods; combinations of these with each other and with other separation techniques such as dialysis; and the like. In one embodiment, protein is obtained by separating proteins in a hookworm extract using a Sepharose ion ex¬ change column, followed by purification on an affinity column consisting of purified human factor Xa bound to agrose resin and gel filtration through a Sepharose gel column. Experimental details are given hereinafter. Hookworm anticoagulant protein so obtained prolongs the prothrombin time and partial thromboplastin time in clotting assays, as well as the factor X (Stypven) clot¬ ting time. It inhibits extrinsic factor Vila, the enzyme responsible for initiating the human coagulation cascade. In addition, it is also capable of binding to factor Xa in the common pathway of the coagulation cascade. As such, it bears a striking similarity to the mammalian Extrinsic Pathway Inhibitor (EPI) , a major endogenous anticoagulant produced by human tissues to regulate the coagulation cascade. Hookworm anticoagulant does not inhibit the hydrolytic activity of purified thrombin and does not inhibit clotting factors II and V. The hookworm anticoagulant of this invention exhib¬ its a molecular weight of about 16,500 daltons. It con¬ tains the amino acid sequences Tyr-Gly-Pro-Cys-Lys and Tyr-Pro-Glu-Cys-Gly-Glu-Asn-Cys-Gly-Leu, thus exhibiting sequence homology with polypeptides belonging to the pancreatic trypsin or Kunitz-type family of serine prote¬ ase inhibitors (named after the first inhibitor to be isolated in crystalline form, the first for which typical 1:1 enzyme-inhibitor stoichiometry was determined, the first for which reversibility was demonstrated, the first to be sequenced, and the first to have the three-dimen¬ sional structure determined; reviewed by Laskowski, M. , and Kato, I., Ann . Rev. Biochem. 49 : 593-626 (1980)). Members of this polypeptide family have been found in many species including other mammals, snails, and sea anemones, as well as in soybeans and snake venoms. The gene coding for Kunitz type inhibitors is thus very old and very widely distributed. Also encompassed by this invention are synthetic hookworm anticoagulants exhibiting activity and structure similar to the isolated and purified protein. Since the protein is small, it can be prepared from its constituent amino acids by sequential formation of peptide bonds using any chemical means. Alternately, the amino acid sequence can be used to prepare cloned complementary DNA sequences defining the hookworm anticoagulant of this invention, which can then be used to transform or trans- feet a host cell for protein expression using standard means. Also encompassed by this invention are DNA se¬ quences homologous or closely related to complementary DNA described herein, namely DNA sequences which hybrid¬ ize, particularly under stringent conditions, to hookworm anticoagulant cDNA, and RNA corresponding thereto. In addition to the anticoagulant-encoding sequences, DNA encompassed by this invention may contain additional sequences, depending upon vector construction sequences, that facilitate expression of the gene. Because of the degeneracy of the genetic code, a variety of codon change combinations can be selected to form DNA that encodes the anticoagulant protein of this invention, so that any nucleotide deletion(s) , addi¬ tion(s) , or point mutation(s) that result in a DNA encod¬ ing the protein are encompassed by this invention. Since certain codons are more efficient for polypeptide expres¬ sion in certain types of organisms, the selection of gene alterations to yield DNA material that codes for the protein of this invention are preferably those that yield the most efficient expression in the type of organism which is to serve as the host of the recombinant vector. Altered codon selection may also depend upon vector con¬ struction considerations. DNA starting material which is employed to form DNA coding for the hookworm anticoagulant of the invention may be natural, recombinant or synthetic. Thus, DNA starting material isolated from tissue or tissue culture, constructed from oligonucleotides using conventional methods, obtained commercially, or prepared by isolating RNA coding for anticoagulant protein, and using this RNA to synthesize single-stranded cDNA which is used as a template to synthesize the corresponding double stranded DNA can be employed to prepare DNA encoding the anticoag¬ ulant of this invention. DNA encoding the protein of this invention, or RNA corresponding thereto, are then inserted into a vector, e.g., a pBR, pUC, pUB or pET series plasmid, and the recombinant vector used to transform a microbial host organisms. Host organisms useful in the invention are bacterial (e. g. , E. coli or B. εubtiliε) , yeast (e.g., S. cervisiae) or mammalian (e.g., mouse fibroblast) . This invention thus also provides novel, biologically func¬ tional viral and circular plasmid RNA and DNA vectors incorporating RNA and DNA sequences describing the hook¬ worm anticoagulant generated by standard means. Culture of host organisms stably transformed or transfected with such vectors under conditions facilitative of large scale expression of the exogenous, vector-borne DNA or RNA sequences and isolation of the desired polypeptides from the growth medium, cellular lysates, or cellular membrane fractions yields the desired products. The present invention thus provides for the total and/or partial manufacture of DNA sequences coding for hookworm anticoagulants, and including such advantageous characteristics as incorporation of codons preferred for expression by selected non-mammalian hosts, provision of sites of cleavage by restriction by endonuclease enzymes, and provision of additional initial, terminal or interme¬ diate DNA sequences which facilitate construction of readily expressed vectors. Correspondingly, the present invention provides for manufacture (and development by site specific mutagenesis of cDNA and geno ic DNA) of DNA sequences coding for microbial expression of anticoagu¬ lant analogues which differ from the forms specifically described herein in terms of identity or location of one or more amino acid residues (i.e., deletion analogues containing less than all of the residues specified for anticoagulant, and/or substitution analogues wherein one or more residues are added to a terminal or medial por¬ tion of the polypeptide) , and which share the biological properties of hookworm anticoagulant described herein. DNA (and RNA) sequences of this invention code for all sequences useful in securing expression in procary- otic or euσaryotic host cells of polypeptide products having at least a part of the primary structural confor- mation, and one or more of the biological properties of hookworm anticoagulant which are comprehended by: (a) the DNA sequences encoding anticoagulant protein as de¬ scribed herein, or complementary strands; (b) DNA se¬ quences which hybridize (under hybridization conditions) to DNA sequences defined in (a) or fragments thereof; and (c) DNA sequences which, but for the degeneracy of the genetic code, would hybridize to the DNA sequences defined in (a) and (b) above. Specifically comprehended are genomic DNA sequences encoding allelic variant forms of anticoagulants included therein, and sequences encod¬ ing RNA, fragments thereof, and analogues wherein RNA or DNA sequences may incorporate codons facilitating tran¬ scription or RNA replication of messenger RNA in non-ver¬ tebrate hosts. Isolation and purification of microbially expressed proteins provided by the invention are by conventional means including, for example, preparative chromatographic separations such as that illustrated in the Examples, and immunological separations, including monoclonal and/or polyclonal antibody preparations. The hookworm anticoagulant protein of this invention exhibits a number of desirable characteristics. Unlike other anticoagulants derived from blood feeding parasites such as the tick Ornithodoros moubata ( axman, L. , et al . , Science 248 : 593-596 (1990)), the blackfly Simulium vittatum (Jacobs, J. . , et al . , Thromb. Haemoεt . 61 : 235- 238 (1989)), and two species of leeches, Haementeria officinaliε (Nutt, E., et al . , J. Biol . Chem. 263 : 10162-10167 (1988)) and Haementeria ghilianii (Condra, C. , Thromb. Haemoεt. 61 : 437-441 (1989)), most of which are capable of inhibiting components of the common path¬ way (factor Xa and thrombin) , hookworm anticoagulant binds to and inhibits the activity of clotting factor Vila, the enzyme responsible for initiating the human coagulation cascade. Moreover, the protein of this in¬ vention is small, soluble and potent. Thus it has utili¬ ty as a therapeutic agent for the treatment of numerous vascular disorders including peripheral vascular disease, stroke, coronary heart disease, hypercoagulable states, and other clotting disorders. As the major morbidity associated with hookworm infection is a reflection of the gastrointestinal blood loss caused by the adult worm, interventions aimed at inhibiting the anticlotting mechanisms of these intesti¬ nal helminths may significantly lessen the sequelae of chronic infection. The isolation and purification of hookworm anticoagulant thus also provides a means to develop hookworm alternative therapies to prevent blood loss during infection. The isolation and purification of hookworm anticoagulant also provides a polypeptide marker for diagnostic purposes. In addition, enhancement of an immune response aimed at the hookworm anticoagulant represents a viable strate- gy for vaccine development focused on reducing the burden of hookworm infection in populations at risk. Hookworm infection is one of the most clinically important soil- transmitted helminthiases, and third world children suf¬ fer most from this usually insidious hemorrhage (Hotez, cited above) . As an antigen, the protein of this inven¬ tion offers potential for vaccination. The following examples are presented to further illustrate and explain the present invention and should not be taken as limiting in any regard. Examples Adult hookworms of the genus Ancyloεtoma caninum were obtained from the intestines of an infected dog as described by Schad, G.A. , Exp. Parasitol . 47 : 246-253 (1979) . Briefly stated, infected dogs were sacrificed when they exhibited peak parasite populations (determined by counting the number of hookworm eggs per gram of fe- ces, about 22 to 31 days post-infection) . The isolated worms were stored frozen at -70 β C. Crude hookworm ex- tracts were prepared by suspending -100 adult worms at a time in 1 L of 0.05 M Tris-HCl buffer, pH 7.5 (hereinaf¬ ter referred to as "buffer") , and grinding in a glass homogenizer for 10 minutes on ice. This suspension was then centrifuged at 8000 g for 2 minutes, and the super- natant was collected. The protein content of the ex¬ tracts was then determined using Bradford's method, which involves the binding of Coomassie blue to proteins, re¬ sulting in a shift in absorption maximum of the dye (Bradford, M.M. , Anal . Biochem. 72 : 248-254 (1976)). Extracts were frozen at -20 β C. A chromogenic assay employing commercially purified human coagulation factor Xa and chromogenic substrate (Chromozym X, N-methoxycarbonyl-Nle-Gly-Arg-4-nitrani- lide-acetate) purchased from Boehringer-Mannheim (India- napolis) was employed to characterize the hookworm pro¬ tein extracts and identify proteins subsequently purified from it. Ten μl of Factor Xa (0.01 units) were incubated with 20 μl of hookworm extracts, protein or buffer A (0.05 M Tris-HCl, pH 8.2, 0.1% bovine serum albumin) for 10 minutes at 20 β C. Nine hundred μl of buffer A was added, followed by 20 μl (40 μg) of Chromozym X. The mixture was allowed to react for 6 hours and optical density was then measured at 405 nm. Negative controls lacking purified factor Xa showed minimal hydrolysis under the same conditions. Identical conditions were used for measuring the effect of hookworm protein on the chromogenic hydrolysis of 40 μg of substrate (Chromozym ® TH: Tosyl-Gly-Pro-Arg- 4-nitranilide-acetate) by commercially purified human thrombin (0.02 units), both purchased from Boehringer- Mannheim. Factor X clotting time was determined by adding 50 μL pooled human plasma to 50 μL of hookworm extracts or protein in 150 μL buffer. To 100 μL of this was added 150 μL bovine factor X-deficient plasma (Sigma, St. Lou¬ is) , 100 μL of Stypven ® (Sigma, 1:10 dilution), cephalin (Sigma), and CaCl 2 (0.035 M) as described by Bachmann (Bachmann, F. , et al . , Thromb. Diathesis Haem . 2 : 24-38 (1958)). Time to clot was measured and compared to both standard curve and controls using buffer in the absence of hookworm protein. As depicted in Figure 1, factor Xa activity was reduced by 50% in the presence of 40 μg of crude soluble hookworm protein. Using the factor X clotting time bio- assay, factor X clotting time was increased by 71% rela¬ tive to control plasma alone in the presence of 500 μg of crude hookworm extracts. Prothrombin time (PT) and partial thromboplastin time (PTT) were determined by adding hookworm extracts or protein to 400 μL of pooled human plasma at 20 β C and then measuring PT and PTT using Dade Thromboplastin C Plus ® Dade Actin FSL ® (Baxter Healthcare, Miami) , respectively, in a MLA 1000 automatic clotting time recorder (Medical Laboratory Automation, Mount Vernon, NY) . Results were expressed as percentage increase in clotting times com- pared to controls in which buffer was substituted for hookworm protein. Using these procedures, adding 0.6 mg of crude soluble hookworm protein to 0.4 ml of human plasma, PT was prolonged by 125% (from 9.9 seconds to 22.3 seconds), and the PTT was prolonged by 57% (from 29.2 seconds to 45.9 seconds). The supernatant containing soluble hookworm protein was applied to a 2.7 x 9 cm Q-Sepharose ion exchange column (Sigma, fast flow, wet bead size 45 to 165 μ) equilibrated in buffer containing 1.0 mM ortho-phenan- throline, 1.0 mM dithiothreitol, 0.1 mg/ml 13,000 to 23,000 molecular weight polyvinyl alcohol, and 0.1% poly- oxyethylene 23 lauryl ether (30% wt/vol) . Bound protein was eluted with a 0 to 2.0 M NaCl gradient, and those fractions in the elution (Figure 2) which were capable of inhibiting factor Xa in a chromogenic assay described above were pooled and frozen. The column fractions that exhibited the most signif¬ icant factor Xa inhibitory activity in vitro also pro¬ longed the factor X clotting time by 33%. Fractions were also assayed for their ability to prolong the PT and PTT. As shown in Figure 3, the column fractions that contained the factor Xa inhibitory activity were identical to the column fractions that prolonged both the PT and PTT. No other column fractions inhibited the activity of purified factor Xa or caused prolonged of the PT/PTT. Specific inhibition of factor Xa hydrolytic activity was enriched fivefold after Q-Sepharose, from 7.75 inhib¬ itory units (IU)/mg of protein to 42 IU/ g of protein. One IU was defined as the amount of hookworm protein that would cause a 1% reduction in the rate of chromogenic substrate hydrolysis by purified factor Xa, compared to controls. Pooled fractions obtained from the Q-Sepharose column that inhibit factor Xa were dialized against buff- er containing 0.1 M NaCl and applied to an affinity col¬ umn consisting of purified human factor Xa bound to aga- rose resin. The protein that bound to this Factor Xa was eluted with 0.17 M acetic acid. Those fractions which were eluted from the column and contained factor Xa in- hibitory activity were pooled, and the buffer changed to buffer containing 0.1 M NaCl using a Centricon ® 3 micro- concentrator (Amicon) . The pooled fractions were applied to a Superose ® 12 (Pharmacia) gel filtration column (24 ml) using fast pressure liquid chromatography. The fractions containing factor Xa inhibitory activity, which exhibited over a 100-fold increase over the original extract, were pooled and lyophilized. At this point, the protein was visual¬ ized as a single band on SDS-polyacrylamide gel electro- phoresis under denaturing and non-denaturing conditions. Alternatively, purification was achieved using a Q- Sepharose ® ion exchange column, gel filtration as des¬ cribed above, and reverse phase high-performance liquid chromatography using a Vydac ® C18 column. The apparent molecular weight of the purified anticoagulant protein is approximately 16,500 daltons. Purified anticoagulant was shown to inhibit the activity of clotting factor Vila (Figure 4) using a pro¬ cedure analogous to the one described for the assay of clotting factor Xa above, except that factor Vila was used instead. Using the chromogenic assay described above, the protein does not appear capable of inhibiting the hydrolytic activity of purified thrombin, another serine protease in the common pathway of the coagulation cascade. Likewise, the soluble protein had no effect on factors II and V (in clotting time assays similar to the prothrombin, partial thromboplastin time assays described above) . In similar tests, trypsin, chymotrypsin, kallikrein, plasmin, protein C, tissue plasminogen activator, uroki- nase, and factor Xlla were not inhibited in the presence of 6.25 nM of the purified anticoagulant. Preliminary amino acid sequence data identified two peptide fragments, Tyr-Gly-Pro-Cys-Lys (SEQ ID NO 6) and Tyr-Pro-Glu-Cys-Gly-Glu-Asn-Cys-Gly-Leu (SEQ ID NO 7) , that are set out in Table I (as item 6) . Abbreviations for the amino acid residues are: A, Ala; C, Cys; D, Asp; E, Glu; F, Phe; G, Gly; H, His; I, lie; K, Lys; L, Leu; M, Met; N, Asn; P, Pro; Q, Gin; R, Arg; S, Ser; T, Thr; V, Val, , Trp; and Y, Tyr. (Full amino acid sequences using the U.S. Patent Office format are set forth herein¬ after in the Sequence Listing section of this applica¬ tion.) TABLE 1 1. RPDFCLEPPYTGPCKARIIRYFYNAKAGLCQTPVYGGCRAKRNNEKSAENCMRTCGGA 2. AAKYCKLPVRYGPCKKKIPSFYYK KAKQCLPFDYSGCGGNANRFKTIEECRRTCVG 3. CAFKADDGPCKAIMKRFFFNIFTROCEEFIYGGCEGNONRFFSLEECKKMC 4. CFLEEDPGICRGYITRYFYNNQTKQCERFKYGGCLGNMNNFETLEECKNIC 5. CLTPADRGLCRANENRFYYNSVIGKCRPFKYSGCGGNENNFTSK ECLRAC 6. YGPCK YPECGENCGL 1. pancreatic trypsin inhibitor 2. green mamba venom 3. tissue factor pathway inhibitor, tail I 4. tissue factor pathway inhibitor, tail II 5. tissue factor pathway inhibitor, tail III 6. hookworm anticoagulant The hookworm protein sequences exhibit homologies to pancreatic trypsin inhibitor (item 1, SEQ ID NO 1), green mamba venom (item 2, SEQ ID NO 2) and tissue pathway inhibitor (items 3 to 5, SEQ ID NOs 3 to 5), suggesting that the purified protein is in the Kunitz-type serine protease inhibitor family with these polypeptides. The sequence predicted from a 2.3 kilobase clone isolated from a cDNA library made with adult Ancyloεtoma caninum hookworms is set out in SEQ ID NO 8; a stop codon is denoted between the asterisks. It can be seen that the sequence has a number of tando ly arranged Kunitz domains. Following a similar isolation procedure, an antico- agulant was isolated from Necator americanuε hookworms. Extracts were prepared by suspending worms in 0.05 M Tris-HCl buffer, pH 7.5, and grinding in a glass homoge- nizer on ice. The suspension was then centrifuged, and the supernatant, collected. A chromogenic assay employ- ing commercially purified human coagulation factor Xa and chromogenic substrate Chromozym ® X was employed to char¬ acterize the protein extracts and identify proteins sub¬ sequently purified from it. Factor Xa (-0.01 unit) was incubated with the extracts, and factor X clotting time was determined as set out above. Using this procedure, factor Xa activity was reduced 40% with the Necator iso¬ late. The above description is for the purpose of teaching the person of ordinary skill in the art how to practice the present invention, and it is not intended to detail all those obvious modifications and variations of it which will become apparent to the skilled worker upon reading the description. It is intended, however, that all such obvious modifications and variations be included within the scope of the present invention, which is de¬ fined by the claims that follow. The claims are meant to cover the claimed components and steps in any sequence which is effective to meet the objectives there intended, unless the context specifically indicates the contrary. SEQUENCE LISTING (1) GENERAL INFORMATION (i) APPLICANTS: Michael Capello Peter J. Hotez Frank F. Richards John M. Hawdon (ii) TITLE OF INVENTION: Hookworm Anticoagulant (iii) NUMBER OF SEQUENCES: 8 (iv) CORRESPONDENCE ADDRESS: MacArthur Center for Molecular Parasitology Yale Parasitology and Tropical Medicine Center 700 Laboratory of Epidemiology and Public Health 60 College Street New Haven, CT 06510 (v) COMPUTER READABLE FORM (A) MEDIUM TYPE: 5.25" 360 Kb diskette (B) COMPUTER: IBM PC (C) OPERATING SYSTEM: MS DOS (D) SOFTWARE: Word Processing (Viii) ATTORNEY INFORMATION (A) NAME: Mary M. Krinsky St. Onge Steward Johnston & Reens 986 Bedford Street Stamford, CT 06905 (B) REGISTRATION NUMBER: 32423 (C) DOCKET NUMBER: 1751-003 (ix) TELECOMMUNICATION INFORMATION (A) TELEPHONE NUMBER: 203-324-6155 (B) TELEFAX NUMBER: 203-327-1096 (2) INFORMATION FOR SEQ ID NO: 1 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 58 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: polypeptide (v) FRAGMENT TYPE: internal fragment (ix) FEATURE (A) NAME: pancreatic trypsin inhibitor (X) PUBLICATION INFORMATION (A) AUTHOR: Ponte, P., et al . (B) TITLE (excerpt) : mRNA contains domain homolo¬ gous to serine proteinase inhibitors (C) JOURNAL: Nature (D) VOLUME: 331 (F) PAGES: 525-527, Figure 1 (G) DATE: 11 February 1988 (K) RELEVANT RESIDUES: segment corresponding to polypeptide residues 287 to 344 (xi) SEQUENCE DESCRIPTION: SEQ ID NO 1: Arg Pro Asp Phe Cys Leu Glu Phe Phe Tyr Thr Gly Pro Cys Lys 290 295 300 Ala Arg lie lie Arg Tyr Phe Tyr Asn Ala Lys Ala Gly Leu Cys 305 310 315 Gin Thr Pro Val Tyr Gly Gly Cys Arg Ala Lys Arg Asn Asn Glu 320 325 330 Lys Ser Ala Glu Asn Cys Met Arg Thr Cys Gly Gly Ala 335 340 (3) INFORMATION FOR SEQ ID NO: 2 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 57 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: polypeptide (v) FRAGMENT TYPE: amino terminus (ix) FEATURE (A) NAME: green mamba venom serine protease in¬ hibitor, delta-Da-TX (X) PUBLICATION INFORMATION (A) AUTHOR: Benishin, C.G. (B) TITLE (excerpt) : Four Polypeptide Components of Green Mamba Venom (C) JOURNAL: Molecular Pharmacology (D) VOLUME: 3 (F) PAGES: 152-159, Figure 8 (G) DATE: 1988 (K) RELEVANT RESIDUES: numbered relative to α-DaTX ( i) SEQUENCE DESCRIPTION: SEQ ID NO. 2: Ala Ala Lys Tyr Cys Lys Leu Pro Val Arg Tyr Gly Pro Cys Lys 5 10 15 Lys Lys lie Pro Ser Phe Tyr Tyr Lys Trp Lys Ala Lys Gin Cys 20 25 30 Leu Pro Phe Asp Tyr Ser Gly Cys Gly Gly Asn Ala Asn Arg Phe 35 40 45 Lys Thr lie Glu Glu Cys Arg Arg Thr Cys Val Gly 50 55 (4) INFORMATION FOR SEQ ID NO: 3 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 51 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: polypeptide (v) FRAGMENT TYPE: internal fragment (ix) FEATURE (A) NAME: Tissue Factor Pathway Inhibitor, Tail I (X) PUBLICATION INFORMATION (A) AUTHOR: Rapaport, S.I. (B) TITLE (excerpt) : The Extrinsic Pathway Inhibi¬ tor (C) JOURNAL: Thrombosis and Haemostasiε (D) VOLUME: 66 (E) ISSUE: 1 (F) PAGES: 6-15, Figure 5 (G) DATE: 1991 (K) RELEVANT RESIDUES: segment corresponding to peptide residues 26 to 76 (xi) SEQUENCE DESCRIPTION: SEQ ID NO. 3: Cys Ala Phe Lys Ala Asp Asp Gly Pro Cys Lys Ala lie Met Lys 30 35 40 Arg Phe Phe Phe Asn lie Phe Thr Arg Gin Cys Glu Glu Phe lie 45 50 55 Tyr Gly Gly Cys Glu Gly Asn Gin Asn Arg Phe Phe Ser Leu Glu 60 65 70 Glu Cys Lys Lys Met Cys 75 (5) INFORMATION FOR SEQ ID NO: 4 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 51 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: polypeptide (v) FRAGMENT TYPE: internal fragment (ix) FEATURE (A) NAME: Tissue Factor Pathway Inhibitor, Tail II (X) PUBLICATION INFORMATION (A) AUTHOR: Rapaport, S.I. (B) TITLE (excerpt) : The Extrinsic Pathway Inhibi¬ tor (C) JOURNAL: Thromboεiε and Haemoεtaεiε (D) VOLUME: 66 (E) ISSUE: 1 (F) PAGES: 6-15, Figure 5 (G) DATE : 1991 (K) RELEVANT RESIDUES: segment corresponding to peptide residues 98 to 148 (xi) SEQUENCE DESCRIPTION: SEQ ID NO 4: Cys Phe Leu Glu Glu Asp Pro Gly lie Cys Arg Gly Tyr lie Thr 100 105 110 Arg Tyr Phe Tyr Asn Asn Gin Thr Lys Gin Cys Glu Arg Phe Lys 115 120 125 Tyr Gly Gly Cys Leu Gly Asn Met Asn Asn Phe Glu Thr Leu Glu 130 135 140 Glu Cys Lys Asn lie Cys 145 (6) INFORMATION FOR SEQ ID NO: 5 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 51 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: polypeptide (v) FRAGMENT TYPE: internal fragment (ix) FEATURE (A) NAME: Tissue Factor Pathway Inhibitor, Tail III (X) PUBLICATION INFORMATION (A) AUTHOR: Rapaport, S.I. (B) TITLE (excerpt) : The Extrinsic Pathway Inhibi¬ tor (C) JOURNAL: Thromboεiε and Haemoεtaεiε (D) VOLUME: 66 (E) ISSUE: 1 (F) PAGES: 6-15, Figure 5 (G) DATE: 1991 (K) RELEVANT RESIDUES: segment corresponding to peptide residues 190 to 240 (xi) SEQUENCE DESCRIPTION: SEQ ID NO 5: Cys Leu Thr Pro Ala Asp Arg Gly Leu Cys Arg Ala Asn Glu Asn 190 195 200 Arg Phe Tyr Tyr Asn Ser Val lie Gly Lys Cys Arg Pro Phe Lys 205 210 215 Tyr Ser Gly Cys Gly Gly Asn Glu Asn Asn Phe Thr Ser Lys Gin 220 225 230 Glu Cys Leu Arg Ala Cys 235 240 (7) INFORMATION FOR SEQ ID NO: 6 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 5 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: peptide (v) FRAGMENT TYPE: internal fragment (Vi) ORIGINAL SOURCE (A) ORGANISM: Ancyloεtoma caninum (C) INDIVIDUAL ISOLATE: purified protein (D) DEVELOPMENTAL STAGE: adult hookworm (ix) FEATURES (A) NAME: hookworm anticoagulant peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO 6: Tyr Gly Pro Cys Lys (8) INFORMATION FOR SEQ ID NO: 7 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 10 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: peptide (v) FRAGMENT TYPE: internal fragment (vi) ORIGINAL SOURCE (A) ORGANISM: Ancyloεtoma caninum (C) INDIVIDUAL ISOLATE: purified protein (D) DEVELOPMENTAL STAGE: adult hookworm (ix) FEATURES (A) NAME: hookworm anticoagulant peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 7 Tyr Pro Glu Cys Gly Glu Asn Cys Gly Leu (9) INFORMATION FOR SEQ ID NO: 8 (i) SEQUENCE CHARACTERISTICS (A) LENGTH: 560 residues (B) TYPE: amino acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE (A) DESCRIPTION: polypeptide (Vi) ORIGINAL SOURCE (A) ORGANISM: Ancyloεtoma caninum (vii) IMMEDIATE SOURCE (A) LIBRARY: cDNA from adult Ancyloεtoma caninum (B) CLONE: 2.3 kb (isolated from the library) (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 8 Thr Ser Leu Ala Leu Val Leu Leu Trp Ala Ala Thr Ala Thr Ala 5 10 15 Leu Leu Asp lie Cys Lys Glu Glu lie Lys Thr Gly Asn Cys Arg 20 25 30 Gly Ala Phe Arg Lys Phe Gly Tyr Asp Arg Cys Thr Asn Lys Cys 35 40 45 lie Pro Tyr Thr Tyr Gly Gly Cys Gly Gly Ser Ser Asn Met Phe 50 55 60 Gly Thr Leu Glu Glu Cys Gin Glu Lys Cys Gly Lys Pro Glu Asp 65 70 75 Arg Cys Ser Lys Pro Leu Glu Arg Gly lie Cys Leu Ala Ser Met 80 85 90 Lys Arg Tyr Gly Tyr Asp Thr Ser Ser Lys Lys Cys Lys Ala Phe 95 100 105 lie Tyr Gly Gly Cys Gly Gly Asn Glu Asn Asn Phe Glu Thr Met 110 115 120 Ala Glu Cys Arg Glu Thr Cys Lys Asp Thr Ser Ser Glu Glu Glu 125 130 135 Ser Val Pro Asp Ala Cys Leu Leu Pro Ser Glu Val Gly Pro Cys 140 145 150 Lys Gly Lys Glu Arg Arg Phe Tyr Phe Asp Gin Lys Arg Gly Asn 155 160 165 Cys Lys Ser Phe Phe Phe Gly Gly Cys Gly Gly Asn Gly Asn Asn 170 175 180 Phe Met Thr Lys Ala Lys Cys Met Glu Thr Cys Ser Lys His lie 185 190 195 Lys Pro Glu Thr Glu Gin Asp Val Cys Ser Gin Pro lie Lys Ala 200 205 210 Gly Pro Cys Met Ala Met Leu Lys Arg Tyr Ala Tyr Asp Asn Lys 215 220 225 Lys Lys Arg Cys Val Gin Phe lie Tyr Gly Gly Cys Lys Gly Asn 230 235 240 Lys Asn Asn Phe Glu Ser Met Glu Glu Cys Thr Arg Thr Cys Lys 245 250 255 Lys Ala Val Pro Glu Pro Glu Gin Asp Thr Cys Ser Gin Pro lie 260 265 270 Glu Val Gly Pro Cys Lys Ala Met Leu Lys Arg Tyr Ala Tyr Asp 275 280 285 Asn Lys Lys Asn Lys Cys Val Arg Phe lie Tyr Gly Gly Cys Lys 290 295 300 Gly Asn Lys Asn Asn Phe Glu Ser Met Glu Glu Cys Thr Tyr Thr 305 310 315 Cys Lys Lys Ala Val Pro Glu Pro Glu Gin Asp Thr Cys Ser Gin 320 325 330 Pro lie Glu Val Gly Pro Cys Lys Ala Met Leu Lys Arg Tyr Ala 335 340 345 Tyr Asp Asn Lys Lys Asn Lys Cys Val Arg Phe lie Tyr Gly Gly 350 355 360 Cys Lys Gly Asn Lys Asn Asn Phe Glu Ser Met Glu Glu Cys Thr 365 370 375 Arg Thr Cys Lys Lys Ala Val Pro Glu Pro Glu Pro Glu Lys Glu 380 385 390 Thr Cys Ser Gin Pro lie Glu Val Gly Pro Cys Lys Ala Met Leu 395 400 405 Lys Arg Tyr Ala Tyr Asp Asn Lys Lys Asn Lys Cys Val Arg Phe 410 415 420 lie Tyr Gly Gly Cys Lys Gly Asn Lys Asn Asn Phe Glu Ser Met 425 430 435 Glu Glu Cys Thr Tyr Thr Cys Lys Lys Ala Val Pro Glu Pro Glu 440 445 450 Gin Asp Thr Cys Ser Gin Pro lie Glu Val Gly Pro Cys Lys Ala 455 460 465 Met Leu Lys Arg Tyr Ala Tyr Asp Asn Lys Lys Asn Lys Cys Val 470 475 480 Arg Phe lie Tyr Gly Gly Cys Lys Gly Asn Lys Asn Asn Phe Glu 485 490 495 Met His Gly Arg Val His Pro Asp lie Ala Arg Lys Gin Tyr Gin 500 505 510 Ser Leu Asn Leu Arg Lys Arg Pro Ala Leu Ser Pro Leu Lys Leu 515 520 525 Val Leu Ala Arg Gin Trp*Asp Asp Leu Leu Thr Thr Thr Gin Arg 530 535 540 Lys Ser Ala*Ser Ser Phe Thr Ala Asp Ala Lys Glu Thr Arg Thr 545 550 555 Thr Ser Lys Pro Trp 560

Claims: CLAIMS 1. An anticoagulant composition comprising a purified soluble protein isolated from hookworms selected from the group consisting of Ancyloεtoma duodenale, Ancyloεtoma celanicum, Necator americanuε , and Ancyloεtoma caninum, wherein said protein prolongs the prothrombin time and partial thromboplastin time. 2. A composition according to claim 1 wherein said pro¬ tein inhibits clotting factors Vila and Xa. 3. An anticoagulant composition comprising a purified soluble protein isolated from hookworms and having a molecular weight of about 16,500 daltons, wherein said protein inhibits clotting factors Vila and Xa. 4. A composition according to claim 3 wherein said pro¬ tein is isolated and purified from hookworms selected from the group consisting of Ancyloεtoma duodenale, Ancy¬ loεtoma ceylonicu , Nectator americanuε, and Ancycloεtoma caninum . 5. A composition according to claims 1, 2, 3, or 4, wherein said protein exhibits amino acid sequence homolo¬ gy to the Kunitz family of serine protease inhibitors. 6. A composition accoiding to claims 1, 2, 3, or 4, wherein said protein contains the amino acid sequences Tyr-Gly-Pro-Cys-Lys and Tyr-Pro-Glu-Cys-Gly-Glu-Asn- Cys-Gly-Leu. 7. A composition according to claims 1, 2, 3, or 4, wherein said protain does not inhibit thrombin or clot¬ ting factors II a id V. 8. A composition according to claims 1, 2, 3, or 4, wherein said protein is isolated and purified from Ancy¬ loεtoma caninum hookworms. 9. A purified and isolated DNA sequence comprising a DNA sequence encoding the protein according to claims 1, 2, 3, or 4. 10. A procaryotic or eucaryotic host cell transformed or transfected with a DNA sequence according to claim 9 in a manner allowing the host cell to express said protein.

Inventors: CAPPELLO MICHAEL, HAWDON JOHN M, HOTEZ PETER J, RICHARDS FRANK E, CAPPELLO, MICHAEL, HAWDON, JOHN, M., HOTEZ, PETER, J., RICHARDS, FRANK, E.
Applicants: CAPPELLO MICHAEL, HAWDON JOHN M, HOTEZ PETER J, RICHARDS FRANK E, UNIV YALE, CAPPELLO, MICHAEL, HAWDON, JOHN, M., HOTEZ, PETER, J., RICHARDS, FRANK, E., YALE UNIVERSITY
Application year: 1994
Main classification: A61K7
IPC codes: A61K35, A61K38, A61K39, A61P7, A61P33, C07H21, C07K14, C12P21, C12R1